Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.60 / $5,505.00 / $16,973.00	Facility		$336.60	$5,505.00	$16,973.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$4,418.00	$9,274.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,177.85	Facility		$64.40	$100.00	$5,177.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $84.67 / $327.41	Professional		$62.72	$84.67	$327.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $190.77 / $397.11	Professional		$58.57	$190.77	$397.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $269.47 / $376.33	Facility		$55.00	$269.47	$376.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $155.33 / $330.93	Facility		$68.56	$155.33	$330.93
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00